The Journal of the Japan Society for Respiratory Endoscopy
Online ISSN : 2186-0149
Print ISSN : 0287-2137
ISSN-L : 0287-2137
Volume 33 , Issue 5
Showing 1-50 articles out of 169 articles from the selected issue
  • Type: Cover
    2011 Volume 33 Issue 5 Pages Cover1-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Appendix
    2011 Volume 33 Issue 5 Pages App1-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Appendix
    2011 Volume 33 Issue 5 Pages App2-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Appendix
    2011 Volume 33 Issue 5 Pages App3-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Appendix
    2011 Volume 33 Issue 5 Pages App4-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Index
    2011 Volume 33 Issue 5 Pages Toc1-
    Published: September 25, 2011
    Released: October 29, 2016
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  • Type: Index
    2011 Volume 33 Issue 5 Pages Toc2-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 301-302
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 303-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 304-305
    Published: September 25, 2011
    Released: October 29, 2016
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  • Keiko Okuno, Haruka Sugimura, Kazuyuki Kobayashi, Yoshikazu Kotani, Yo ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 306-310
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. Recent advances in medical treatment have led to an increase in the number of patients requiring intensive care and intubation for airway support. Despite improvement in tube design and materials, laryngeal or tracheal granuloma remains a late complication of tracheal intubation. Case. A 66-year-oid man was admitted to our hospital to undergo resection of an abdominal aneurysm under general anesthesia, but progressive dyspnea developed l month postoperatively. He was referred to another clinic, where tracheal granuloma was diagnosed. Bronchoscopic biopsy revealed nonspecific inflammatory change, which almost disappeared with systemic steroid therapy. The following month, we recognized regrowth of the granuloma, and therefore we treated him with antibiotics and steroid inhalation. No recurrence has been observed. Conclusion. We encountered a case of recurrence of inflammatory tracheal granuloma, after steroid therapy.
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  • Soichi Oka, Tatsuo Takama, Hidetaka Uramoto, Takeshi Hanagiri, Fumihir ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 311-314
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. Endobronchial lipomatous hamartoma is very rare. Cases. We describe the case of a 64-year-old woman who presented with persistent pneumonia. Computed tomography revealed a tumor obstructing her left lower bronchus. A lipomatous tumor measuring 2.2×1.7cm had invaded beyond the orifice of the lower bronchus. Bronchoscopic examination indicated the presence of a tumor at the orifice of the lower bronchus, and obstruction of the orifice of the upper bronchus was also identified. Although bronchoscopic biopsy did not yield a diagnosis of this tumor, a left lower sleeve lobectomy was performed because there was a possibility that the tumor was malignant. The pathological diagnosis was lipomatous hamartoma. The postoperative course was uneventful, and no findings of recurrence have been observed 3 years after surgery. Conclusion. Endobronchial lipomatous hamartoma is very rare. In the present case, the tumor was obstructing her left lower lobe and invading the outside of the left lower lobe bronchus.
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  • Atsuko Tokuda, Eiko Kamioka, Sukeyuki Nakamura, Hiroshi Tabeta
    Type: Article
    2011 Volume 33 Issue 5 Pages 315-320
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. A novel concept of IgG4-related sclerosing disease has recently been proposed. However, the clinical and pathological features have not yet been adequately described. Case. A chest computed tomographic image of a 79-year-old man showed a solid nodule with peripheral reticular shadows in the right upper lobe, and multiple mediastinal lymph node swelling. Although transbronchial lung biopsy did not yield any definite findings, jaundice developed and autoimmune pancreatitis was diagnosed based on a high serum IgG4 level. When we re-examined the transbronchial lung biopsy specimens by immunohistochemical staining, dense IgG4-positive plasma cell infiltration was revealed. Since the lung lesion had been diagnosed as an IgG4-related inflammatory pseudotumor with lymphadenopathy complicated by autoimmune pancreatitis, we initiated steroid therapy. Conclusion. Although the patient's pancreatitis and lung pseudotumor improved immediately, improvement in his lymphadenopathy was poor. Since endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) of the lymph nodes showed marked IgG4-positive cell infiltration, the lymph node swelling was also diagnosed as IgG4-related lymphadenopathy. These findings suggest that treatment response may vary according to the lesion.
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  • Tatsuaki Watanabe, Chiaki Endo, Akira Sakurada, Naoya Ishibashi, Shuns ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 321-325
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. We report a case of mucoepidermoid tumor with obstructive pneumonia. Case. A 26-years old woman was admitted to a local hospital because of pneumonia and right lung atelectasis, which did not respond to antibiotic treatment. Bronchoscopy revealed a tumor obstructing the truncus intermedius. Histopathological examination of the tumor showed mucoepidermoid carcinoma. She was referred to our department for further treatment, including possible surgery. We removed the tumor using a high-frequency knife under bronchoscopy. Follow-up bronchoscopy a week later revealed a fibrinous mass in the truncus intermedius necessitating additional resection. After 4 days, no tumor regrowth was observed, and we administered mitomycin-C. After 7 days, we performed a right middle and lower lobectomy with lymph node dissection, and covered the bronchial stump with a pericardial fat pad flap. Her postoperative course was uneventful. Histopathological examination revealed no residual carcinoma. Conclusion. Using a high-frequency knife successfully removed an epidermoid carcinoma which had been obstructing the truncus intermedius with bronchoscopy. The patient's obstructive pneumonia improved, which enabled us to perform a subsequent right middle and lower lobectomy without any complications.
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  • Satoru Ishii, Yuichiro Takeda, Satoshi Hirano, Shinji Nakamichi, Go Na ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 326-330
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. We report a case of parietal pleural metastasis that recurred with pleural effusion 18 years after nephrectomy due to kidney cancer, and which was successfully diagnosed by thoracoscopy under local anesthesia. There are few case reports of a diagnosis of delayed metastasis discovered more than 10 years after nephrectomy. Case. A 76-year-old man who presented with a chief complaint of dyspnea was admitted for further evaluation and treatment. Radiographic findings displayed left pleural effusion, and thoracocentesis was performed. Although the obtained pleural effusion appeared exudative, his cytology was negative. Thus, no diagnosis was made. Since the patient had experienced nephrectomy due to left kidney cancer 18 years previously, it was necessary to distinguish pleural metastasis from kidney cancer in the differential diagnosis. We performed thoracoscopy under local anesthesia to confirm the diagnosis. Examination of the thoracic cavity revealed white, botryoid, lesions protruding from the diaphragm. Their surfaces were red with many fine blood vessels, and the tissue was relatively soft, enabling easy biopsy. The pathologic results of the biopsy revealed tumor cells with clear bodies which formed cell nests. Comparison of this with the surgical specimens of kidney cancer obtained 18 years earlier, showed the 2 to appear identical. Therefore, a final diagnosis of pleural metastasis of kidney cancer was made. Conclusion. We report a rare case of carcinomatous pleuritis that recurred 18 years after nephrectomy due to kidney cancer, which was successfully diagnosed by thoracoscopy under local anesthesia.
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  • Tohru Hasumi, Yasuki Saito, Jiro Abe, Fumihiko Hoshi, Masaki Kawamura, ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 331-336
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. Entamoeba gingivalis (E. gingivalis) is a common parasite of the human oral cavity, and believed to be non-pathogenic. Case. A 53-year-old woman presented to the emergency room in our hospital with hemoptysis. Chest computed tomography showed mass in the right upper lobe, suggesting a lung abscess. Fiberoptic bronchoscopy examination did not show any etiological bacteria, mycobacteria, or malignant cells. She was treated with antibiotics, but the shadow did not change. Further bronchoscopic examination demonstrated filamentous bacteria, suggesting Actinomyces. She was given cotrimoxazole, but there was no improvement in the shadow or hemoptysis. A third bronchoscopic examination with brushing cytology revealed numerous amoeba trophozoites. On PCR analysis, the 18S rRNA sequence was consistent with E. gingivalis. She was treated with metronidazole and the shadow noticeably improved after 1 month. Conclusion. We report an extremely rare case of amoebic lung abscess with E. gingivalis. It is recommended that an amoebic infection should be included in the differential diagnosis in case of pulmonary infection if various antibiotics are ineffective.
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  • Kazuhiko Kataoka, Toshiya Fujiwara, Motoki Matsuura
    Type: Article
    2011 Volume 33 Issue 5 Pages 337-341
    Published: September 25, 2011
    Released: October 29, 2016
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    Background. Recently, the incidence of pulmonary infarction has increased in Japan. Cases. We report 4 cases of pulmonary infarction presenting as mass shadows diagnosed by video-assisted thoracic surgery (VATS). The first patient was a 39-year-old man with chest pain and bloody sputum. Chest computed tomography (CT) revealed an area of ground-glass opacity (GGO) in the left lower lobe which became a trapezoidal mass shadow with convex border after 3 weeks. There were no symptoms in the other 3 patients. However, chest CT images showed a trapezoidal mass shadow with convex border in the second and third patients and a round nodular shadow in the fourth patient. All 4 patients underwent partial resection of the lung by VATS. Resected specimens revealed necrosis with localized pleural fibrosis and therefore a diagnosis of pulmonary infarction was made. Conclusion. Pleural trapezoidal or tetragonal mass shadows with a convex border accompanied by GGO may be pulmonary infarction. If the shadow shows no regression after follow up, VATS should be performed to obtain a diagnosis.
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  • Mami Tada, Noboru Takayanagi, Takashi Ishiguro, Makoto Hayashi, Yousuk ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 342-347
    Published: September 25, 2011
    Released: October 29, 2016
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    Case. We encountered a 57-year-old woman whose chief complaint was dyspnea on effort. She had no history of infertility but had suffered from dysosmia since childhood. Chest computed tomographic images showed bronchiectasis. Electron microscopic examination of her bronchial mucosa biopsied by bronchoscopy showed a defect of the inner dynein arms in her cilia. We diagnosed primary ciliary dyskinesia. After treatment with clarithromycin, her symptoms, such as cough and sputum production, and her blood gas measurements, the results of respiratory function tests, and imaging findings all improved. Conclusion. Clarithromycin may be effective in patients with primary ciliary dyskinesia.
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  • Masayuki Tanahashi
    Type: Article
    2011 Volume 33 Issue 5 Pages 348-355
    Published: September 25, 2011
    Released: October 29, 2016
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  • Masahide Oki, Yasushi Murakami, Kazumi Hori, Yoriko Funahashi, Rie Tsu ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 356-360
    Published: September 25, 2011
    Released: October 29, 2016
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  • Takayuki Kaburagi
    Type: Article
    2011 Volume 33 Issue 5 Pages 361-365
    Published: September 25, 2011
    Released: October 29, 2016
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  • Masaaki Miyoshi, Fumiya Fukushima, Akihiro Takemasa, Yasutsugu Fukushi ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 366-370
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 371-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 371-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 371-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 371-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 371-372
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 372-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 372-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 372-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (303K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 372-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (303K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 372-373
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 373-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 373-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (304K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 373-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (304K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 373-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (304K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 373-374
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (301K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (301K)
  • [in Japanese], [in Japanese]
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (301K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (301K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 374-375
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 375-
    Published: September 25, 2011
    Released: October 29, 2016
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 375-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (302K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 375-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (302K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 375-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (302K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 375-376
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (520K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 376-
    Published: September 25, 2011
    Released: October 29, 2016
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    Download PDF (287K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    Type: Article
    2011 Volume 33 Issue 5 Pages 376-
    Published: September 25, 2011
    Released: October 29, 2016
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